| Ellie Mental Health | |
|
200 Ne Missouri Rd Ste 307 Lees Summit MO 64086-4722 | |
| (816) 392-3754 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 Ne Missouri Rd Ste 307, Lees Summit, Missouri |
| Authorized Official Name and Position | Seth Henson (OWNER) |
| Authorized Official Contact | 8163923754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 4250 Ne Sun Ct Lees Summit MO 64064-2245 Ph: (816) 392-3754 | Ellie Mental Health 200 Ne Missouri Rd Ste 307 Lees Summit MO 64086-4722 Ph: (816) 392-3754 |
| NPI Number | 1720701329 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720701329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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